1976, 03-12 Permit App: L3139 ResidenceCorry of Spokane, Washireon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 0,c)
PERMIT FEE
GENERAL REQUIREMENTS
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
kind or alter any building or structure already erected, or to change a land use. Construction must conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection. '•'
WATER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
the surface, shoulders or ditches of, County Roads, permission must be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
`, least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress. •
COUtTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
peiformed in accordance with stakes. Points of ingress and .egress must be approved by the County Engineer.
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
144Mhway, clearance must be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages,. sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
- / , OCT[ T /70X( iA 27� Phone .Ja____lZ-
Name of Owner A/Y1 i . o hS/ - /1G Address
Architect Address Phone"
Engineer Address Phone
Contractor-S�'n \ C r' Address 5' Zg /Y1 ' Phone 'S
P�a M P
Legal Description of Property (Give complete des ription from deed, fax receipt, c 1
es -7'L a 13 /a-•' / �1/ • aa7� 3 ,lrkaaz-
./C/,' , V; P w s f a /Pre .
91.2 -Def
DESCRIPTION OF WORK: New - X Addition
0
Size of Lot 1 30 X A5 ' y Se a System
Stories +i Dimensions ,3 .A 7 4-X 4
Remodel
Moving ,Bldg. Zone Fire Zone
.d PR onst.
(Fr., Conc., Br., etc.)
C
_ Total Sq Ft
Rooms 6:112Baths / Basement
(Full, part, none s Founds ion onst OanC. Chimney
Heat. System ,3 ,B £4'e"cType of Roofing oM '',''' ,'''"""""" ��a��a''''E������x���t Finish
Use of Bldg. /j���th
5''c' 4,e(u+rM' tut �'
PL/OT PLAN
Valuation
Fireplace
hdl (Numb r
Int Wall Finish ,C/C2:[.1 ,13,4e
No of Units L Bedrooms - 2 -
•
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;, (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of aagge -ys-
tem and water supply lines. o(:
NORTH ,
rn
rn
• mi
/.CA's -ear ,
SOUTH
I hereby certify information submitted is correct and there
.!as shown. ( 7 /tet I A
i Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST•BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
(,,, tat CO DO NOT WRITE BELOW THIS LINE //1
Your street address will be �1�cf✓moi%/,P i°o�4� �k The zone IIS3�/
S 'N4(211Sewage Permit Number ..JiIssued _ Building Permit / 3/39 Receipt F / %9:1 Issued
'
y
REQUIRED
Plumbing Perm�i�t''sl -1/R
^"/
Heating PermilA) v,"yr�
e U
Sewage Permit /1f l -i
Ov.vl.
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property except
dO'alAtie 'V%Date
CONSTRUCTION COMMENCES.
Remarks
Form 523 Bldg. Code
44 .-- ..
Ralf
PLAN: :a.+a Cladina [lam, Lcntion e4 bollatga, dodvoetfoy, otc. on lot.
Lo* a a sock 14.
Mill Edi eta-) s sre.
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�el�r� % it. cont. tPRof), cuk3 14,4)714,4)7�
5 % 5c�QatLDP�k 't0 0
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(973-V3-260